Do you know of any other reason why you should not do any physical activity? *

Yes

No

Eligibility, Currency, and Certification

I hereby confirm I meet all eligibility and/or currency requirements outlined in the latest version of PAWGI General Standards. *

Yes

No

I hereby certify that I have reviewed, and agree to abide by, the latest version of PAWGI General Standards. *

Yes

No

I hereby certify that all information provided in this application is true to the best of my knowledge. *

Yes

No

I ALSO UNDERSTAND THAT FAILURE TO MEEAT ELIGIBILITY AND/OR CURRENCY REQUIREMENTS, FAILURE TO COMPLY WITH PAWGI STANDARDS, AND/OR ANY MISREPRESENTATION IN THIS APPLICATION, IS GROUND FOR REVOCATION OF MY CERTIFICATION. *